Door To Hope | |
130 W Gabilan St Salinas CA 93901-2762 | |
(831) 758-0181 | |
(831) 758-5127 |
Full Name | Door To Hope |
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Speciality | Community/Behavioral Health |
Location | 130 W Gabilan St, Salinas, California |
Authorized Official Name and Position | Chris A. Shannon (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8317580181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Door To Hope 130 W Gabilan St Salinas CA 93901-2762 Ph: (831) 758-0181 | Door To Hope 130 W Gabilan St Salinas CA 93901-2762 Ph: (831) 758-0181 |
NPI Number | 1295940013 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 09/11/2015 |
Medicare PECOS PAC ID | 4880810233 |
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Medicare Enrollment ID | O20140722000181 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295940013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | C272702 (California) | Primary |
Provider Name | Edgar H Castellanos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619089943 PECOS PAC ID: 0547212433 Enrollment ID: I20050222000462 |
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